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espanolLa analgesia siempre se ha considerado uno de los pilares fundamentales de la asistencia medica a la baja de combate. Esta opinion sigue vigente en los actuales conflictos de Irak y Afganistan. La sanidad militar espanola lleva desplegada en el Hospital Militar de Herat (Afganistan) desde 2005. En este centro se han atendido a casi 30.000 pacientes (algunos de ellos bajas en combate), obteniendose una importante experiencia en el tratamiento de este tipo de politraumatismo. Se expone el caso de un militar, que tras sufrir un atentado con herida de arma de fuego y explosivos, sufre traumatismo craneoencefalico, lesion ocular, traumatismo abdominal y en una extremidad. Se exponen las medidas de control del dolor perioperatorias prestadas a este herido. EnglishAnalgesia has been considered always a vital role in the casualty medical assistant. This opinion is present in Irak and Afghanistan conflicts, too. Since 2005, Spanish military corps has been deployed in the Spanish Military Hospital in Herat (Afghanistan). In this medical facility 30.000 patients (some of them casualties) have been treated, kept an important experience in the treatment of this kind of politrauma. We show a medical report about a military, who is injured by an gunshot and explosive attack suffering traumatic brain injury, ocular lesion, abdominal and leg trauma. Perioperative painkiller treatment is described in this casualty.

Tratamiento del dolor perioperatorio en la baja de combate: experiencia desde el Hospital Militar Español de Herat (Afganistán)